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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,074 Documents
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Hubungan Kadar High Density Lipoprotein (HDL) dengan Tekanan Darah pada Pasien Hipertensi Tangkau, Victoria V. J.; Assa, Youla A.; Tiho, Murniati
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60874

Abstract

Abstract: One of the indicators to identify a person's risk of hypertension is by measuring lipid profile. Measuring the high-density lipoprotein (HDL) cholesterol level in the lipid profile plays an important role in evaluating the risk of hypertension. This study aimed to determine the relationship between HDL level and blood pressure among patients with hypertension at ODSK Hospital in North Sulawesi Province. This was a retrospective and analytical study using a cross-sectional design. The data used in this study were medical records of all patients with hypertension at the ODSK Hospital in the North Sulawesi Province during the period of April 2022 to September 2023. Samples consisted of patients with hypertension at the ODSK Hospital who meet the inclusion and exclusion criteria. The results showed that the majority patients with hypertension patients with low HDL levels were female (64.9%). Additionally, based on blood pressure the highest percentage of patients with hypertension was in the grade 1 category (57.1%). However, there was no significant correlation between HDL level and blood pressure (both systolic and diastolic) with p-values>0.05 (p=0.683 and p=0.121). In conclusion, there is no significant relationship between HDL level and blood pressure in patients with hypertension at ODSK Regional Hospital, North Sulawesi Province. Keywords: hypertension; blood pressure; high density lipoprotein    Abstrak: Salah satu indikator yang digunakan untuk mengidentifikasi potensi seseorang terkena penyakit hipertensi ialah dengan mengukur profil lipid. Pengukuran kadar kolesterol high-density lipoprotein (HDL) dalam profil lipid berperan penting dalam mengevaluasi risiko hipertensi. Penelitian ini bertujuan untuk mengevaluasi hubungan kadar HDL dengan tekanan darah pada pasien hipertensi di RSUD ODSK Provinsi Sulawesi Utara. Jenis penelitian ialah analitik retrospektif dengan desain potong lintang. Data yang digunakan ialah rekam medik seluruh pasien hipertensi di RSUD ODSK Provinsi Sulawesi Utara pada periode April 2022 – September 2023. Sampel meliputi kelompok kasus pasien hipertensi di RSUD ODSK Provinsi Sulawesi Utara yang memenuhi kriteria inklusi dan eksklusi. Hasil penelitian mendapatkan bahwa berdasarkan kadar HDL, yang terbanyak yaitu kategori kadar HDL pada perempuan <50 mg/dL (64,9%), dan berdasarkan tekanan darah yang terbanyak yaitu kategori derajat 1 (57,1%). Tidak terdapat hubungan bermakna antara kadar HDL dengan tekanan darah sistol dan diastol) pada pasien hipertensi dengan nilai p>0,05 (p=0,683 dan p=0,121). Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara kadar HDL dengan tekanan darah pada pasien Hipertensi di RSUD ODSK Provinsi Sulawesi Utara. Kata kunci: hipertensi; tekanan darah; high density lipoprotein
Profil Penggunaan Antibiotik pada Pasien Sepsis dan Syok Septik di Ruang Perawatan Intensif Prof. Dr. R. D. Kandou Manado Kowel, Feysira C. E. P.; Lalenoh, Diana C.; Laihad, Mordekhai L.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60875

Abstract

Abstract: Gram-negative and gram-positive bacteria are common causes of sepsis and septic shock, therefore, treatment often uses broad spectrum antibiotics. This study aimed to determine the types of antibiotics used, the suitability of antibiotics with etiology, and the average length of antibiotic use in sepsis and septic shock patients at Prof. Dr. R. D. Kandou Hospital Manado from July 2022 to June 2023. This was a descriptive and retrospective study using patients’ medical records. The results showed that the use of antibiotics in sepsis and septic shock included monotherapy and combination therapy. The most common antibiotics for monotherapy was levofloxacine (14.3%) in sepsis, and meropenem (8.7%) in septic shock. The most common combination for sepsis was meropenem-levofloxacine (6.7%) and meropenem-metronidazole (6.7%), meanwhile for septic shock was meropenem-levofloxacine (16.5%). Of the 91 sepsis patients, only 15 had the causative germs; 10 (9.62%) antibiotics did not match the etiology, eight (7.84%) did. In septic shock, of 91 patients, five patients had the causative germs; four (4.44%) antibiotics were according to etiology, three (3.37%) were not appropriate. The average use of antibiotics was one day, with an average value of 3.06 for sepsis and 2.24 for septic shock. In conclusion, in patients with sepsis and septic shock, the monotherapy is levofloxacine and meropenem, while the combination therapies are meropenem-levofloxacine and meropenem-metronidazole. Antibiotics appropriate to the etiology in sepsis and septic shock sepsis have nearly the same number with those inappropriate to etiology. The average duration of antibiotic use for both sepsis and septic shock is one day. Keywords: antibiotics; sepsis; septic shock; profile of antibiotics usage   Abstrak: Bakteri Gram-negatif dan Gram-positif merupakan penyebab umum sepsis dan syok septik, sehingga pengobatannya sering menggunakan antibiotik spektrum luas. Penelitian ini bertujuan untuk mengetahui jenis antibiotik yang digunakan, kesesuaian antibiotik dengan etiologi, rerata lama penggunaan antibiotik pada pasien sepsis dan syok septik di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2022–Juni 2023. Jenis penelitian ialah deskriptik retrospektif menggunakan data rekam medis pasien sepsis dan syok septik. Hasil penelitian mendapatkan penggunaan antibiotik pada sepsis dan syok septik meliputi monoterapi dan kombinasi. Antibiotik yang umum digunakan untuk monoterapi ialah levofloxacine (14,3%) pada sepsis, dan meropenem (8,7%) pada syok septik; untuk kombinasi meropenem-levofloxacine (6,7%) dan meropenem-metronidazole (6,7%) pada sepsis dan meropenem-levofloxacine (16,5%) pada syok septik. Dari 91 pasien sepsis, hanya 15 yang memiliki kuman penyebab; 10 (9,62%) antibiotik tidak sesuai etiologi, dan delapan (7,84%) sesuai. Pada syok septik, dari 91 pasien, lima memiliki kuman penyebab; empat (4,44%) antibiotik sesuai etiologi, dan tiga (3,37%) tidak sesuai. Rerata penggunaan antibiotik terbanyak ialah satu hari, dengan nilai rerata 3,06 untuk sepsis dan 2,24 untuk syok septik. Simpulan penelitian ini ialah antibiotik yang banyak digunakan pada pasien sepsis dan syok septik sebagai monoterapi yaitu levofloxacine dan meropenem, sedangkan untuk kombinasi ialah meropenem-levofloxacine dan meropenem-metronidazole. Antibiotik yang sesuai etiologi baik pada sepsis maupun syok septik hampir sama banyak dengan yang tidak sesuai etiologi.  Rerata lama penggunaan antibiotik baik sepsis maupun syok septik ialah satu hari. Kata kunci: antibiotik; sepsis; syok septik; profil penggunaan antibiotik
Perbandingan Rasio FEV1/FVC pada Mahasiswa Perokok Elektronik dan Perokok Tembakau Korto, Feren E. I.; Sapulete, Ivonny M.; Pangkahila, Erwin A.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61014

Abstract

Abstract: Tobacco cigarettes and electronic cigarettes contain harmful and toxic chemicals for the body, leading to addiction and dependence on users. Long-term cigarette consumption causes health problems, especially in the respiratory system, marked by disturbances or decreases in lung function. One parameter for measuring lung function is the FEV1/FVC ratio. This study aimed to determine the difference in the FEV1/FVC ratio between electronic and tobacco smokers. This was an analytical and observational study with a cross-sectional design. Samples were students of the Faculty of Civil Engineering, Universitas Sam Ratulangi obtained by using purposive sampling. Data were analyzed using the Mann-Whitney non-parametric independent sample test. The results showed that out of 37 respondents who were electronic cigarette smokers, 33 respondents (89,2%) were in the normal category, and two respondents (5,4%) were in the mild to moderate category. Among tobacco cigarette smokers, out of 46 respondents, 45 respondents (97,8%) were in the normal category, and one respondent (2,2%) was in the moderate category. The Mann-Whitney test revealed a p-value of 0.107 (p>0.05) between the two groups. In conclusion. there is no significant difference in the FEV1/FVC ratio between electronic and tobacco smokers among students at the Faculty of Civil Engineering, Universitas Sam Ratulangi. Keywords: FEV1/FVC ratio; electronic cigarette smokers; tobacco smokers    Abstrak: Rokok tembakau dan rokok elektronik mengandung bahan kimia berbahaya dan beracun bagi tubuh serta mengakibatkan adiksi dan dependensi pada penggunanya. Konsumsi rokok jangka panjang menyebabkan masalah kesehatan khususnya sistem pernapasan, ditandai gangguan atau penurunan fungsi paru. Salah satu parameter pengukuran kesehatan paru ialah rasio FEV1/FVC. Penelitian ini bertujuan untuk mengetahui perbedaan rasio FEV1/FVC pada perokok elektronik dan tembakau. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Sampel penelitian ialah mahasiswa Fakultas Teknik Sipil Universitas Sam Ratulangi, diperoleh dengan teknik purposive sampling. Alat yang digunakan untuk mengukur rasio FEV1/FVC ialah spirometer. Analisis data menggunakan uji beda sampel bebas non parametrik Mann-Whitney. Hasil penelitian mendapatkan total 37 responden jenis perokok elektronik; 33 responden (89,2%) kategori normal, dua responden (5,4%) kategori ringan - sedang. Perokok tembakau sebanyak total 46 responden; 45 responden (97,8%) kategori normal dan satu responden (2,2%) kategori sedang. Hasil uji Mann-Whitney mendapatkan nilai p=0,107 (p>0,05). Simpulan penelitian ini ialah tidak terdapat perbedaan bermakna antara rasio FEV1/FVC pada perokok elektronik dan perokok tembakau mahasiswa Fakultas Teknik Sipil Universitas Sam Ratulangi. Kata kunci: rasio FEV1/FVC; perokok elektronik; perokok tembakau
Evaluasi Penggunaan Antibiotik pada Pasien Pneumonia di Bangsal Pediatri Manan, Nadine E.; Wiyono, Weny I.; Mpila, Deby A.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61015

Abstract

Abstract: Infectious diseases such as pneumonia are becoming more difficult to treat as antibiotics become less effective. This study aimed to evaluate the use of antibiotics in pneumonia patients in the pediatric ward of Robert Wolter Monginsidi Hospital Manado. This was a non-experimental conducted retrospectively using total sampling method, and the data were analyzed descriptively. The results obtained 89 pediatric patients with pneumonia from January to December 2023 as samples. The use of antibiotics with the right indication was 100%, the right patient was 100%, the right drug was 100%, and the right dose was 34.83%. In conclusion, the administration of antibiotics in pneumonia patients in the pediatric ward of Wolter Monginsidi Hospital Manado is appropriate for indications, appropriate for patients, and appropriate for drugs Keywords: evaluation of therapy; antibiotics; pneumonia; pediatric patients.    Abstrak: Penyakit-penyakit infeksi antara lain pneumonia menjadi semakin lebih sulit diobati karena antibiotik menjadi kurang efektif. Penelitian ini bertujuan untuk mengevaluasi penggunaan antibiotik pada pasien pneumonia di bangsal pediatrik Rumah Sakit Robert Wolter Monginsidi Manado. Metode penelitian ini bersifat non-eksperimental yang dilakukan secara retrospektif dengan pengambilan sampel secara total sampling, dan dianalisis secara deskriptif. Hasil penelitian mendapatkan 89 pasien pediatri dengan pneumonia pada periode Januari–Desember 2023 sebagai sampel. Didapatkan penggunaan antibiotik yang tepat indikasi sebesar 100%, tepat pasien sebesar 100%, tepat obat sebesar 100%, dan tepat dosis sebesar 34,83%. Simpulan penelitian ini ialah pemberian antibiotik pada pasien pneumonia di Bangsal Pediatrik Rumah Sakit Wolter Monginsidi Manado sudah tepat indikasi, tepat pasien, dan tepat obat. Kata kunci: evaluasi terapi; antibiotik; pneumonia; pasien pediatri
Perbandingan Rasio FEV1/FVC pada Perokok Elektronik dan Perokok Tembakau Mahasiswa Universitas Sam Ratulangi Marasi, Trinita E.; Sapulete, Ivonny M.; Engka, Joice N. A.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61016

Abstract

Abstract: Smoking can accelerate decrease of lung function due to the abundant harmful substances in cigarettes. Decreased lung function is characterized by a decrease in the values of forced expiratory volume 1 (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio. This study aimed to compare the FEV1/FVC ratio in electronic smokers and tobacco smokers among students of Universitas Sam Ratulangi. This was a quantitative study using analytical and observational method with a cross-sectional design. Samples were students of the Faculty of Engineering Class 2021, Department of Electrical Engineering, Universitas Sam Ratulangi, obtained by using the purposive sampling method. There were 51 male students as respondents. The Mann-Whitney test on  the FEV1/FVC ratio obtained a p-value of 0.022 (2-tailed) (<0.05). In conclusion, there is a significant difference in the FEV1/FVC ratio between electronic smokers and tobacco smokers. Keywords: ratio of FEV1/FVC; electronic smoker; tobacco smoker;    Abstrak: Merokok dapat mempercepat penurunan fungsi paru akibat mengandung banyak zat berbahaya. Penurunan fungsi paru ditandai dengan penurunan nilai forced expiratory volume 1 (FEV1), forced vital capacity (FVC), dan penurunan rasio FEV1/FVC. Penelitian ini bertujuan untuk mengetahui perbandingan rasio FEV1/FVC pada perokok elektronik dan perokok tembakau mahasiswa Universitas Sam Ratulangi. Jenis penelitian ini ialah kuantitatif yang menggunakan metode penelitian observasional analitik dengan desain potong lintang. Sampel penelitian ialah mahasiswa Fakultas Teknik Angkatan 2021 Jurusan Teknik Elektro Universitas Sam Ratulangi, diperoleh dengan metode purposive sampling. Hasil penelitian mendapatkan 51 mahasiswa laki-laki sebagai responden penelitian. Hasil uji Mann-Whitney terhadap FEV1/FVC pada perokok tembakau dan perokok elektronik mendapatkan nilai p=0,22 (2-tailed) (p<0,05). Simpulan penelitian ini ialah terdapat perbedaan bermakna pada rasio FEV1/FVC antara  perokok elektronik dan perokok tembakau. Kata kunci: rasio FEV1/FVC; perokok elektronik; perokok tembakau
Gambaran Pengetahuan dan Sikap Wanita Kaum Ibu GMIM Sion Tumaluntung tentang Kanker Serviks Wongkaren, Brenda; Wagey, Frank M. M.; Suparman, Erna
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61018

Abstract

Abstract: Based on data from WHO, cervical cancer is ranked second among all types of cancer that occur among Indonesian women. Lack of knowledge and the right attitude in dealing with this matter is the basis for an increase in cases of cervical cancer.  This study aimed to obtain an overview of the knowledge and attitude of women from the GMIM Sion Tumaluntung Congregation regarding cervical cancer. This was a quantitative and descriptive study with a cross-sectional design. Sample were obtained by using a random sampling technique of 100 samples who met the criteria. The results showed that 91 respondents (91%) had good level of knowledge about cervical cancer, and nine respondents (9%) had poor level of knowledge. Meanwhile, related to attitudes in this study, 86 respondents (86%) had positive attitude towards preventing cervical cancer, and 14 people (14%) had less positive attitude. In conclusion, the majority of women in the GMIM Sion Tumaluntung Congregation have good knowledge and attitude about cervical cancer. This level of knowledge and good attitude cannot be separated from the influence of several factors such as age, experience, education, work, and sources of information. Keywords: cervical cancer; knowledge; attitude    Abstrak: WHO menyatakan bahwa kanker serviks menduduki ranking kedua diantara semua jenis kanker yang terjadi pada perempuan Indonesia. Kurangnya pengetahuan dan sikap yang tepat dalam menghadapi hal ini menjadi dasar terjandinya peningkatan kasus kanker serviks. Penelitian ini bertujuan untuk memperoleh gambaran pengetahuan dan sikap wanita kaum ibu jemaat GMIM Sion Tumaluntung tentang kanker serviks. Jenis penelitian ini ialah deskriptif kuantitatif dengan desain potong lintang dan menggunakan teknik pengambilan sampel random sampling sebanyak 100 orang yang memenuhi kriteria di Jemaat GMIM Sion Tumaluntung. Hasil penelitian mendapatkan sebanyak 91 responden (91%) dengan tingkat pengetahuan tentang kanker serviks yang baik, dan sembilan orang (9%) lainya memiliki tingkat pengetahuan yang kurang baik. Untuk pengukuran sikap diperoleh respoden sebanyak 86 orang (86%) yang memiliki sikap positif terhadapt pencegahan kanker serviks, dan 14 orang (14%) lainya memiliki sikap yang tidak positif. Simpulan penelitian ini ialah sebagian besar wanita di Jemaat GMIM Sion Tumaluntung memiliki pengetahuan dan sikap yang baik tentang kanker serviks. Tingkat pengetahuan dan sikap yang baik ini tidak lepas dari pengaruh beberapa faktor seperti, usia, pengalaman, pendidikan, perkerjaan, dan sumber informasi. Kata kunci: kanker serviks; pengetahuan; sikap
Gambaran Penggunaan Obat Antihipertensi pada Pasien Hipertensi di Instalasi Rawat Inap Salah Satu Rumah Sakit Swasta di Sulawesi Utara Rue, Puella; Mambo, Christi D.; Nangoy, Edward; Umboh, Octavianus; Purwanto, Diana S.; Masengi, Angelina S. R.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61019

Abstract

Abstract: Management of hypertension is conducted to control the  blood pressure in patients with hypertension. There are a variety of antihypertensie agents that can be used in patients with hypertension.  This study aimed to evaluate the pattern of antihypertensive drug use among patients with hypertension in the Inpatient Ward. This was a retrospective and descriptive study using a cross-sectional design. The results showed that the  dominant characteristics were female gender (64.29%), age ≥60 years (71.43%), housewife (51.43%), and completed senior high school education (34.29%). The most commonly prescribed drugs were amlodipine (25.71%), and the combination of amlodipine and candesartan (22.86%). In conclusion, the majority of patients with hypertension are females, aged ≥60 years, working as housewives, and have high school education. The most frequently used single antihypertensive drug is calcium channel blocker group, specifically amlodipine, while the combination therapy involve both a calcium channel blocker and an ARB, namely amlodipine and candesartan. Keywords: hypertension; antihypertensive drugs    Abstrak: Tatalaksana hipertensi dilakukan dengan tujuan untuk mengontrol tekanan darah pada pasien hipertensi. Terdapat bermacam jenis obat antihipertensi yang dapat digunakan pada pasien hipertensi.  Penelitian ini bertujuan untuk mengetahui gambaran penggunaan obat antihipertensi pada pasien hipertensi di Instalasi Rawat Inap. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Hasil penelitian mendapatkan karakteristik yang dominan ialah jenis kelamin perempuan (64,29%), usia ³60 tahun (71,43%), pekerjaan sebagai ibu rumah tangga (IRT) (51,43%), dan pendidikan terakhir SMA (34,29%). Penggunaan obat terbanyak ialah amlodipin (25,71%), serta kombinasi amlodipin dan candesartan (22,86%) Simpulan penelitian ini ialah pasien hipertensi paling banyak terdapat pada jenis kelamin perempuan, kelompok usia ³60 tahun, pekerjaan IRT, dan tingkat pendidikan terakhir SMA. Penggunaan obat antihipertensi tunggal terbanyak dari golongan antagonis kalsium yaitu amlodipin, sedangkan kombinasi obat antihipertensi ialah antagonis kalsium dan ARB, yaitu amlodipin dan candesartan. Kata kunci: hipertensi; obat antihipertensi
Cardiac Stab Wound in Remote Area: A Case Report Sukanto, Wega; Tamburian, Christha Z.; Aruperes, Marturia I.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61045

Abstract

Abstract: Penetrating cardiac injuries are life-threatening emergencies requiring immediate surgical intervention. We presented a case of cardiac stab wound leading to cardiac tamponade and rupture of the pulmonary artery and right ventricle who survived long enough to undergo emergency procedure. A 25-year-old male was stabbed in the left chest approximately nine hours before admission. He experienced chest pain and dyspnea but remained conscious. After initially treated at a local hospital, he was later referred to a tertiary facility. On assessment, he was tachycardic, tachypneic, and had distant heart sounds. Laboratory findings revealed leukocytosis, thrombocytosis, hyperglycemia, metabolic acidosis, lactic acidosis, and anemia. Chest radiograph showed a bottle-shaped heart, passive atelectasis, and a rightward shift of the thoracic vertebrae. The initial suspicion was cardiac tamponade due to myocardial rupture. Sternotomy revealed a pericardial hematoma (150 mL), a right ventricular tear extending to the pulmonary artery, and pneumothorax. Surgical repair was performed with drainage placement. After intervention, echocardiograph examination showed no myocardial damage or infarction, a dysfunction in diastolic which showed an impaired in relaxation of the left ventricle which is a temporary consequence of trauma, pericardial effusion or surgical intervention. In conclusion, this case underscores necessity of early surgical intervention even if this patient succeeded surviving for long hours before surgery. While this patient showed promising recovery, close postoperative monitoring remains crucial to detect functional changes and prevent complications. Keywords: emergency sternotomy; vulnus ictum; chest trauma; sharp cardiac injury; repair of artery pulmonary; rupture of right ventricle
Ovarian Cyst Torsion: A Case Report Lampus, Harsali; Rendy, Leo; Candy, Candy; Rangan, Andy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61259

Abstract

Abstract: Accidents involving ovarian cysts might include cyst rupture, hemorrhage, and torsion. Any girl who has abdominal pain or a pelvic or abdominal mass should be evaluated for ovarian torsion, a rare issue in the juvenile age group. We reported a 10-year-old girl presented with complaints of lower left abdominal pain that began three days prior to her hospital admission. Initially, the pain was intermittent but subsequently became persistent and intensified, with no pain-free intervals. CT-Scan of the abdomen – pelvis without contrast revealed cystic mass with fat components and intralesional calcification, in the suprapubic quadrant. The impression came from the ovary (difficult to determine the right/left ovary), which urged the bladder to the anteroinferior and urged the uterus to the posterior, suspected of mature cystic ovarian teratoma. The patient was managed with intravenous fluids (IVFD), antibiotics, and analgesics for pain control. Due to the high suspicion of ovarian torsion, emergency exploratory laparotomy was performed. Anatomical differences in the paediatric population and their effects on surgery were also be considered. Intraoperative findings confirming a left ovarian cyst measuring approximately 8 x 6 x 4 cm, which had undergone torsion twice. Detorsion was performed, and the ovary was found to be viable. Cystectomy was carried out, preserving healthy ovarian tissue. The right ovary appeared normal. In conclusion, this case underscores the importance of timely surgical intervention, even beyond the traditional "golden period" of 6–12 hours, as collateral blood supply may help maintain ovarian viability. The shift from oophorectomy to ovarian preservation in the management of ovarian torsion reflects evolving clinical practices, emphasizing better reproductive and long-term health outcomes. Early recognition, prompt imaging, and surgical intervention are crucial to preserving ovarian function and improving patient prognosis. This case also highlights the need for increased awareness of ovarian torsion in pediatric and adolescent populations, given its rarity and diagnostic complexity. Keywords: torsion cyst; ovarian cyst; paediatric surgery
Gambaran Pola Luka pada Kasus Kematian Akibat Kekerasan Tajam di RS Bhayangkara Tingkat III Manado Tahun 2023 Caise, Olivia; Siwu, James F.; Mallo, Nola T. S.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61264

Abstract

Abstract: Sharp violence is caused by the use of objects with sharp or pointed sides, so that, it can cause injuries to parts of the body. Attacks with sharp weapons and deaths from stabbing occur all over the world, from countries with high rates of crime and violence to countries known to be the safest in the world. This study aimed to determine wound pattern in cases of death due to sharp violence in Rumah Sakit Bhayangkara Level III Manado in 2023. This was a descriptive and retrospective study using secondary data from Visum et Repertum from Rumah Sakit Bhayangkara. The results found 15 cases of death due to sharp violence throughout 2023. Most cases were found in May (26.7%) followed by December (20%) with the most requests for Visum et Repertum from Manado (53.3%). The most common age group was 21-69 years (40%); all of them were male (100%). The type of wound was dominated by stab wound (93.3%). The most common location was in the chest area (60%) which mostly hit the heart and lungs (33.3%). In conclusion, the cases of death due to sharp violence are all male, young adult age group (21-30 years), and the most common type of stab wound in the chest area that affects the lungs and heart organs. Keywords: wound pattern; sharp violence   Abstrak: Kekerasan tajam diakibatkan oleh penggunaan benda bersisi tajam maupun runcing sehingga dapat menimbulkan luka pada bagian tubuh. Serangan dengan senjata tajam dan kasus kematian akibat penikaman terjadi di seluruh dunia, mulai dari negara dengan tingkat kejahatan dan kekerasan yang tinggi hingga negara-negara yang dikenal paling aman di dunia. Penelitian ini bertujuan untuk mengetahui gambaran pola luka kasus kematian akibat kekerasan tajam di RS Bhayangkara Tingkat III Manado tahun 2023. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder hasil Visum et Repertum dari RS Bhayangkara Tingkat III Manado Sulawesi Utara. Hasil penelitian mendapatkan 15 kasus kematian akibat kekerasan tajam di RS Bhayangkara Tingkat III Manado sepanjang tahun 2023, paling banyak kasus dijumpai pada bulan Mei (26,7%) diikuti bulan Desember (20%) dengan permintaan Visum et Repertum paling banyak dari Kota Manado (53,3%). Kelompok usia terbanyak pada golongan usia 21-69 tahun (40%), seluruhnya berjenis kelamin laki-laki (100%). Jenis luka didominasi oleh luka tusuk (93,3%). Lokasi terbanyak pada daerah dada (60%) yang paling banyak mengenai jantung dan paru (33,3%). Simpulan penelitian ini ialah kasus kematian akibat kekerasan tajam seluruhnya berjenis kelamin laki-laki, golongan usia dewasa muda (21-30 tahun), paling banyak dijumpai jenis luka tusuk pada daerah dada yang mengenai organ paru dan jantung. Kata kunci: pola luka; kekerasan tajam

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